SIMON CHAKKALAPADAVIZ Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000303

License Status

INACTIVE

Business

First Name

SIMON

Last Name

CHAKKALAPADAVIZ

Business Name

SIMON CHAKKALAPADAVIZ

Original Issue Date

11/19/1997

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

08/07/2007